Web WODIL 2025 Full Conference Form

Participant Information
Name (As it is in your passport)*

First NameLast Name
Participant Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number

Country CodeArea CodePhone Number
Do you require visa to Canada?*

YesNo
Passport # (If visa letter is needed)
Passport Issuing Country
Date of Birth
MM/DD/YYYY
Upload Passport Copy

Only upload your passport biodata page
Cancelof
Referred by
How did you hear about WODIL*
Disability

I am disabled and will need event access assistance
What are your disability needs
Any food requirements?*

NoneVeganVegetarianGluten FreeOther
Accompanying person (0-11 years old)
Children between 0-11 years old
No. of Accompanying Person(s)

OneTwo
Name

First NameLast Name
Date of Birth
mm/dd/yyyy
Name

First NameLast Name
Date of Birth
mm/dd/yyyy
WODIL Terms and Conditions*
Credit Card Billing Details

Billing address is same as participant address aboveBilling address is different from participant address above
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products

Full Registration

Full 2 Days Registration

Full 2 days in-person registration

$1,150.00CAD No. of Persons
Item subtotal:$0.00CAD

Accompanying person

Accompanying person

Children between 0-11 years old

$300.00CAD No. of Persons
Item subtotal:$0.00CAD

Training

DiversityFirst Certification

Virtual Training

$1,100.00CAD Quantity

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Participant Information